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Target Audience Assessment

How well do you know the people in your demographic area? How closely does your practice come to meeting their healthcare needs?

Complete the following Target Audience Assessment and we will evaluate your situation and provide a FREE Needs Analysis. If you have questions and need to speak directly with one of our Program Consultants, call 800.679.1262

Which of the following best describes your geographic area?

urban
suburban
small town
rural
beach community
college town

Which of the following best describes the ethnicity of people in your area?

mostly Caucasian
mostly Hispanic
mostly African-American
mixed ethnic groups

Which of the following best describes the predominant income level in your area?

upper income
middle upper
middle income
middle lower
lower income

Which of the following best describes the predominant education level in your area?

college grads and post-grads
high-school grads and some college
high-school grads and some dropouts
home-schooled and under-educated
a diverse mix of the above

Which of the following best describes the predominant occupations in your area?

professional men (white collar) and women (pink collar)
high-tech (computers, software, biotech, etc.)
service industries
manufacturing and trades (blue collar)
tourism-related
retail and wholesale industries
food-related and farming
hospitals and healthcare
education and research
retirement and leisure

Which of the following best describes your practice type?

general medical primary care
subspecialty medical (ob/gyn, orthopedic, gastro, pain management, surgical, etc.)
general and cosmetic dental
subspecialty dental (orthodontic, periodontal, endodontic, maxillofacial)
physical or occupational therapy
hearing and speech
vision and eye care

Please provide the following information. Your evaluation results cannot be calculated without it.

First Name* Last Name* Zip Code* Phone Number* Fax Number* Specialty* Practice Name* What would you like to improve in your practice*

Best day of the week to call you* Best time of the day to reach you* Title* Email* Promo Code* How did you hear about us* Please provide more detail* Others*

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